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Chapter 53 - Truncal Blocks

Published online by Cambridge University Press:  30 November 2019

By
Monica Chen
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

This chapter, provides an overview for pediatric truncal blocks. The author describes the nerve distribution and ultrasound Sonoanatomy for the common truncal blocks (transversus abdominis plane, rectus sheath, Ilioinguinal, Iliohypogastric, paravertebral, quadratus lumborum, and erector spinae blocks. Indications and contraindications as well as discussion of perineural catheters are discussed.

Keywords

rectus abdoministruncal blocksTransversus abdominis plane block
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 236 - 245
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Abrahams, M, Derby, R, Horn, JL. Update on ultrasound for truncal blocks: a review of the evidence. Reg Anesth Pain Med. 2016;41(2):275–88. PMID: 26866299.CrossRefGoogle ScholarPubMed
Chelly, JE. Paravertebral blocks. Anesthesiol Clin. 2012 Mar;30(1):75–90. PMID: 22405434.CrossRefGoogle ScholarPubMed
Chin, KJ, McDonnell, JG, Carvalho, B, et al. Essentials of our current understanding: abdominal wall blocks. Reg Anesth Pain Med. 2017;42(2):133–83. PMID: 28085788.CrossRefGoogle ScholarPubMed
Elsharkawy, H. Quadratus lumborum blocks. Adv Anesth. 2017;35(1):145–57. PMID: 29103570.CrossRefGoogle ScholarPubMed
Forero, M, Adhikary, SD, Lopez, H, et al. The erector spinae plane block: a novel analgesic technique in thoracic neuropathic pain. Reg Anesth Pain Med. 2016;41(5):621–7. PMID: 27501016.CrossRefGoogle Scholar
Suresh, S, Ecoffey, C, Bosenberg, A, et al. The European Society of Regional Anaesthesia and Pain Therapy/American Society of Regional Anesthesia and Pain Medicine Recommendations on Local Anesthetics and Adjuvants Dosage in Pediatric Regional Anesthesia. Reg Anesth Pain Med. 2018;43(2):211–16. PMID: 29319604.Google ScholarPubMed
Suresh, S, De Oliveira, GS Jr. Local anaesthetic dosage of peripheral nerve blocks in children: analysis of 40 121 blocks from the Pediatric Regional Anesthesia Network database. Br J Anaesth. 2018;120(2):317–22. PMID: 29406181.CrossRefGoogle ScholarPubMed
Tsai, HC, Yoshida, T, Chuang, TY, et al. Transversus abdominis plane block: an updated review of anatomy and techniques. Biomed Res Int. 2017;2017:8284363. PMID: 29226150.CrossRefGoogle Scholar

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